Casualty Specialist

Vertek Solutions, Inc.; Franklin (TN); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Annual bonus

Health insurance

Dental insurance

Vision insurance

401(k) plan

PTO

Job summary

Vertek Solutions, Inc. in Franklin, TN is seeking a Casualty Representative to proactively investigate coverage, liability and damages, gather medical documentation, and evaluate and settle or deny injury claims with accuracy and professionalism.

The role emphasizes strong negotiating and communication skills, thorough file documentation, and adherence to state regulations and best practices. A college degree or commensurate experience is required, with opportunities for annual bonuses and

Qualifications

• Requires strong adjusting and negotiation skills.
• Excellent organization and problem-solving abilities.
• Outstanding oral and written communication to build rapport quickly.
• Knowledge of claims best practices and relevant regulations.

Responsibilities

• Investigate coverage, liability and damages for injury claims.
• Gather medical documentation to support settlements or denials.
• Submit and re-evaluate reserves; present cases to Claim Committee.
• Maintain knowledge of venues across handled states.
• Document files thoroughly and prepare materials for management review.

Skills

Adjusting skills

Negotiation skills

Organization

Problem solving

Communication (oral/written)

Education

College degree or commensurate experience

Job description

• The Casualty Representative will proactively investigate coverage, liability and damages. They will seek out all medical documentation to evaluate and settle or deny injury claims where appropriate. Adequate reserves will be set and re-evaluated regularly.
• Maintain an acceptable quality of work based on objective measurements and evaluated by the manager and regular audits performed by the Department Audit Team.
• Individual results by venue will be compared against prior results and current peer results in the same venue.
• Representatives will be called upon to help teammates on occasion. They will also be judged on the average BI/UMBI payments for the Casualty and Litigation Units based on metrics.
• Maintain a current, accurate working knowledge of all venues for the states handled.
• This person will be required to bring all requests for BI settlement authority over 10K to Claim Committee. Their expertise and professionalism will be shown through file documentation and preparation of files for discussion with management and/or at Claim Committee.

QUALIFICATIONS

• College degree or commensurate work experience required.
• Minimum of 2- year handling injury claims.
• Must have strong adjusting and negotiation skills.
• Excellent organization and problem-solving skills.
• Excellent oral and written communication skills to quickly build rapport
• Knowledge of Claims Best Practices, tort laws in the states we do business in and Department of Insurance regulations, particularly each state’s fair claims practice act.
• General office skills include faxing, copying and filing. Proficient in typing
• Opportunity for annual performance bonus
• Benefits include: Health, dental, supplemental cancer, vision insurance and 401(k) plan
• Paid Time Off Bank to include 3 days PTO available after first 80 hours worked for New Hires
• Short-term and long-term disability
• Flexible Healthcare and Childcare spending accounts for tax savings
• Opportunities for advancement
• Continuous training and support throughout your career